Individual provider Active NPI

John P Corsi, DC

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1124188271
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3810-012 Issued in WI
Practice address
11129N Wauwatosa Rd
Mequon, WI 53097-3431
Phone
(414) 354-5377
Fax
(414) 354-0523
NPI assigned
Dec 11, 2006
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3810-012 WI Primary

Addresses

Primary practice location

11129N Wauwatosa Rd
Mequon, WI 53097-3431

Mailing address

11129N Wauwatosa Rd
Mequon, WI 53097-3431
Phone (414) 354-5377

Other identifiers 1

IdentifierTypeStateIssuer
38952400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000618 WI Practitioner - Chiropractic 4183601750 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - Brown Deer LTDGroup PAC ID 8628255718, 4 clinicians

Practice addresses (Care Compare)

11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone (414) 354-5377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3810-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - Cudahy LTD Chiropractor CurrentSince Jan 1, 2022 Accepting new patients
Chiropractic Company - Muskego LLC Chiropractor CurrentSince Apr 15, 2021 Accepting new patients
Chiropractic Company - Shorewood Chiropractor CurrentSince Aug 1, 2022 Accepting new patients
Chiropractic Company - Brown Deer LTD Chiropractor CurrentSince Apr 1, 2011 Accepting new patients
Chiropractic Company - Milwaukee Downtown LTD Chiropractor PastSince Oct 7, 2019 Accepting new patients
Chiropractic Company - Waukesha LTD Chiropractor PastSince Dec 1, 2018 Accepting new patients
Chiropractic Company - Oconomowoc LTD Chiropractor PastSince Jul 6, 2016 Accepting new patients
Chiropractic Company - Franklin LTD Chiropractor PastSince Apr 1, 2020 Accepting new patients
Chiropractic Company - 23 LTD Chiropractor PastSince Apr 1, 2022 Accepting new patients
Chiropractic Company 24 LTD Chiropractor PastSince Jul 1, 2025 Accepting new patients
Chiropractic Company - Mke Downtown LTD Chiropractor PastSince May 20, 2022 Accepting new patients
Chiropractic Company S.C. Chiropractor PastSince Jun 1, 2002 Accepting new patients

Locations

3552 E Barnard Ave
Cudahy, WI 53110
Phone (414) 482-1776

11129 N Wauwatosa Rd
Mequon, WI 53097
Phone (414) 354-5377

W189S7773 Racine Ave
Muskego, WI 53150
Phone (262) 679-2060

W189S7819 Racine Ave
Muskego, WI 53150
Phone (262) 679-2060

3510 N Oakland Ave
Ste 201
Shorewood, WI 53211
Phone (414) 962-0700

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1124188271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11129N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377",
            "fax_number": "414-354-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11129N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377",
            "fax_number": "414-354-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSI",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3810-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38952400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.